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Can visual art therapy be implemented with illiterate older adults with mild cognitive impairment? A pilot mixed-method randomized controlled trial

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dc.creator Masika, Golden M.
dc.creator Yu, Doris S.F.
dc.creator Li, Polly W. C.
dc.date 2020-03-23T09:49:10Z
dc.date 2020-03-23T09:49:10Z
dc.date 2020
dc.date.accessioned 2022-10-20T14:01:36Z
dc.date.available 2022-10-20T14:01:36Z
dc.identifier Masika, G. M., Yu, D. S., & Li, P. W. (2020). Can visual art therapy be implemented with illiterate older adults with mild cognitive impairment? A pilot mixed-method randomized controlled trial. Journal of Geriatric Psychiatry and Neurology
dc.identifier https://doi.org/10.1177/0891988720901789
dc.identifier http://hdl.handle.net/20.500.12661/2296
dc.identifier.uri http://hdl.handle.net/20.500.12661/2296
dc.description Abstract. Full Text Article available at: https://journals.sagepub.com/doi/10.1177/0891988720901789
dc.description Older adults with mild cognitive impairment (MCI) with no literacy are at increased risk of progression to dementia. Whether it is feasible to engage this population in visual art therapy (VAT) and yield effects on cognition and depression remained unclear. A pilot mixed-method single-blinded randomized controlled trial was conducted in a sample of community-dwelling older adults with MCI. The experimental group (n = 21) was assigned to 12 sessions of VAT over 6 weeks, and the control group (n = 18) was assigned to 6 weekly health education (HE) on nonbrain health topics. Participants were evaluated at baseline using Montreal Cognitive Assessment–5-minute protocol (MoCA-5-min) and Geriatric Depression Scale Short Form (GDS-SF). A focus group discussion (FGD) was also conducted to the experimental group to explore their experiences of participating in the VAT. Findings indicated that both VAT and HE groups had significant improvement in MoCA-5-min scores and depressed mood over time; however, the significant group × time interaction effect was noted only for the psychological outcome. Findings from the FGD indicated that participants had challenging experiences at the beginning of the therapy, but later, they were able to cope and found that the VAT was relevant and beneficial for their cognitive and psychosocial health. This pilot study provided initial evidence about the potential benefit of VAT in improving cognitive and psychological well-being of older adults with MCI and low literacy and provided insights on how to better engage them in this cognitive stimulating intervention. A full-scale trial is recommended for a stringent evaluation.
dc.language en
dc.publisher SAGE
dc.subject Visual art therapy
dc.subject Mild cognitive impairment
dc.subject Older adults
dc.subject Illiterate
dc.subject Randomized controlled trial
dc.subject Dementia
dc.title Can visual art therapy be implemented with illiterate older adults with mild cognitive impairment? A pilot mixed-method randomized controlled trial
dc.type Article


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